CASSANDRA LYNN PUCCINELLI M.D.
NPI 1528448958
Otolaryngology in Oakland, CA

Q: What is Cassandra Puccinelli's NPI number?

The NPI number for Cassandra Puccinelli is 1528448958. It was assigned to this individual provider in the NPPES registry on June 1, 2015.

Q: What is Cassandra Puccinelli's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since June 01, 2015PECOS EnrolledAccepts Medicare Assignment

3600 BROADWAY, OAKLAND, CA 94611(510) 752-1115 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 30, 2024, Aug 12, 2021, Jul 14, 2020 and 1 more (4 updates tracked since 2018).

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About Cassandra Lynn Puccinelli M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSANDRA LYNN PUCCINELLI M.D. (NPI 1528448958) is an individual otolaryngology provider in Oakland, California, licensed in Nebraska (33743) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1528448958

Entity TypeIndividualFemale

Primary Taxonomy207Y00000X

Provider Legal NameCASSANDRA LYNN PUCCINELLICredential: M.D.

Location Address3600 BROADWAYOakland, CA 94611-5730

Mailing Address3600 Broadway Fl 4Oakland, CA 94611-5730

Phone(510) 752-1115

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 1, 2015

Last NPPES UpdateJuly 30, 20244 updates tracked since enumeration

NPPES CertifiedJuly 30, 2024

✔ NPI 1528448958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Licenses✔ Licensed in NE · 33743✔ Licensed in CA · A168750✔ Licensed in MN · 60867

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

3600 BROADWAY, Oakland, CA 94611

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cassandra Lynn Puccinelli M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42522948

PECOS Enrollment IDI20200702001294

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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